52 results
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
Treatment of hyperkalemia ... determine response to diuretic ... #hyperkalemia ... #diuresis #nephrology ... #algorithm
T-Wave ECG changes in Hyperkalemia vs Hyperacute MI
 - Hyperkalemia: Increased height, without increase area
 -
T-Wave ECG changes ... in Hyperkalemia ... Hyperacute MI - Hyperkalemia ... #Hyperkalemia # ... electrocardiogram #comparison
Compelling and Possible Contraindications to Antihypertensive Drugs
Diuretics (thiazides)
 - Gout
 - Metabolic syndrome, Glucose intolerance, Pregnancy,
, Hypokalemia, Erectile ... antagonists (MRA) - Hyperkalemia ... higher risk of hyperkalemia ... Angioneurotic edema, Hyperkalemia ... - Pregnancy, Hyperkalemia
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Hypokalemia - Differential ... Diagnosis Algorithm ... • Discontinued diuretic ... MatthewHoMD #Hypokalemia ... Differential #Diagnosis #Algorithm
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
Hypokalemia - Differential ... Urinary Losses - Diuretics ... proliferation - Hypokalemic ... DrEricStrong #Hypokalemia ... Low #Potassium #Table
Hypokalemia Differential Diagnosis Algorithm

Low intake 
• poor oral intake 

Renal loss 
• Medication 
• Hypomagnesemia 
•
Hypokalemia Differential ... Diagnosis Algorithm ... Hypomagnesemia • Osmotic diuresis ... amzn.to/2LmUODZ #Hypokalemia ... Differential #Diagnosis #Algorithm
Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 • Mechanism: Preferentially captures K in exchange for
Agents to Treat Hyperkalemia ... to moderate); hypokalemia ... Hypomagnesemia; hypokalemia ... disturbances (including hypokalemia ... Potassium #Binding #Hyperkalemia
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Loop and thiazide diuretics ... abnormalities - Hypercalcemia ... - Hypokalemia ... - Osmotic diuresis ... Low #Magnesium #Table
Hyperkalemia management algorithm 2023-2024 based on UKKA and KDIGO guidelines.

#hyperkalemia #electrolytes #algorithm #emergency #management

Notes:

(1) Up to
Hyperkalemia management ... #hyperkalemia #electrolytes ... Up to half of hyperkalemia ... patients with extreme hyperkalemia ... for refractory hyperkalemia
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... Elimination (see Table ... emcrit.org/ibcc/hyperkalemia ... management of hyperkalemia ... #Hyperkalemia